• HCBS Software for Medicaid Waivers

Help seniors and people with disabilities live independent, quality lives with WellSky® Human Services Software

WellSky HCBS Software software manages your Medicaid Waiver, Older Americans Act, and other state or federally funded programs in one comprehensive enterprise solution. Whether you’re a state department, agency, or managed care organization responsible for aging, intellectual and developmental disabilities (IDD), behavioral health, traumatic brain injury, or other human services programs, we are your trusted partner. WellSky’s modular approach complies with Medicaid Information Technology Architecture (MITA) Conditions and Standards as outlined by CMS.

Explore our HCBS Software

WellSky automates every step of the care process, including eligibility and intake, assessments, and claim adjudication and processing, enabling more comprehensive care management. With our enterprise solution, each operating agency can configure the system to support its own unique process.

Manage your provider network within WellSky Human Services Software. Automate provider applications, confirm credentialing and re-certification requirements, manage referrals faster, and ensure quality performance. Increase provider satisfaction through pre-adjudicated claims and faster remittances.

WellSky’s critical incident module compliments the waiver management solution and keeps data secure via role-based permissions, sharing only minimum necessary data. This helps you maintain compliance with HIPAA and other privacy standards and demonstrate compliance with health and welfare requirements for §1915(c) waivers as well as other required Medicaid oversight activities.

Whether your state prioritizes clients according to acuity or other factors, WellSky Human Services locks in a documented process that protects your state with a clearly defined, objective selection system.

Access hundreds of standard reports and generate custom reports to assess operational performance, track outcomes, and comply with funding source requirements. Every data element is reportable – WellSky’s platform provides meaningful insights across all programs that can be used to maximize performance.

When a claim is submitted and adjudicated, WellSky Human Services breaks out the total amount into the appropriate state and federal match ratios, carefully tracking your state’s payouts. A full array of budgeting utilities and financial reports track performance against the budget precisely, so you can maximize the number of consumers accepted into your program.

Simplify compliance with the HCBS Quality Framework, Settings Rule, and 1115, 1915(c), 1915(i), 1915(j), and 1915(k) Waiver Quality Requirements. Standard reports and dashboards allow you to closely monitor CMS-designated desired outcomes. Role-based security ensures compliance with HIPAA Minimum Necessary Standards.

 

HCBS Software designed for your success

Achieve Better Outcomes

Improve quality of care with automation, optimized workflows, and aggregated data. In addition, WellSky’s experience working closely with experts across the care continuum leads to approaches that yield the best possible outcomes for your state.

Maximize Funding Use

WellSky’s solutions are continually updated to reflect legislative mandates and include embedded industry best practices to ensure you can maximize use of available funding sources and balance quality care with costs.

Stretch Your Budget

Bring new efficiencies to every area of your program with WellSky HCBS software. Our solutions are accessed online and can be deployed and updated quickly with no capital requirements, reducing the burden on your IT staff.

Over 70% of states use WellSky to manage their human services programs

Extend the power of WellSky HCBS Software

HSS Advisory Board Members

The WellSky Human and Social Services (HSS) Advisory Board provides WellSky with industry insight, counsel and guidance to ensure we are meeting the future needs of our HSS clients and other clients who rely on partnerships with social services providers for whole-person care. Our board members help us validate trends and identify opportunities that can lead to continued innovations that enable our clients to improve the lives of vulnerable populations and build communities that thrive.

Merrill Friedman

Position: Senior Director – Disability Policy Engagement, Elevance Health

Merrill Friedman leads the Disability Policy Engagement team and advocacy strategy for Elevance Health, a leading health benefits company serving nearly 71 million people nationwide through its affiliates.

Merrill Friedman

Senior Director – Disability Policy Engagement, Elevance Health

Merrill Friedman leads the Disability Policy Engagement team and advocacy...

Kathy Greenlee

Position: Senior Director, ADvancing States and former U.S. Assistant Secretary for Aging

Kathy Greenlee was instrumental in founding the Administration for Community Living at HHS.  She also a served as the Secretary of the Kansas Department of Aging and Disability Services.

Kathy Greenlee

Senior Director, ADvancing States and former U.S. Assistant Secretary for Aging

Kathy Greenlee was instrumental in founding the Administration for Community...

Janet LaBreck

Position: Co-Founder of Synergy Consulting Partners and former Commissioner of the Rehabilitation Services Administration

Under her leadership, Janet LaBreck was responsible for promulgating the most substantive national policy regulation changes to the Vocational Rehabilitation program in over 15 years.  In addition to her work at Synergy Consulting and her own consulting business, she is a Respectability and National Braille Press board member.

Janet LaBreck

Co-Founder of Synergy Consulting Partners and former Commissioner of the Rehabilitation Services Administration

Under her leadership, Janet LaBreck was responsible for promulgating the...

J.T. Lane

Position: Chief Population Health & Innovation Officer, Association of State and Territorial Health Officials (ASTHO)

J.T. Lane directs ASTHO’s support of state and territorial partnerships to end the HIV epidemic, state and territorial public health capacity building, rural health innovation, and primary care and public health integration.

J.T. Lane

Chief Population Health & Innovation Officer, Association of State and Territorial Health Officials (ASTHO)

J.T. Lane directs ASTHO’s support of state and territorial partnerships...

Yolanda Stevens

Position: Program and Policy Analyst, National Alliance to End Homelessness (NAEH)

Dr. Yolanda Stevens brings more than 25 years of experience to her role at NAEH. She has spent the majority of her career at the local level on issues related to vulnerable populations-older adults, survivors of domestic and sexual violence, and individuals experiencing homelessness.

Yolanda Stevens

Program and Policy Analyst, National Alliance to End Homelessness (NAEH)

Dr. Yolanda Stevens brings more than 25 years of experience...

Mary Sowers

Position: Executive Director, National Association of State Directors of Developmental Disabilities Services (NASDDDS)

Before joining NASDDDS, Mary Sowers was with Mercer Government Human Services Consulting where she provided consultation and technical assistance to state governments on a wide array of Medicaid-related issues, with a focus on integrated care, home and community-based services, and managed long-term services and supports.

Mary Sowers

Executive Director, National Association of State Directors of Developmental Disabilities Services (NASDDDS)

Before joining NASDDDS, Mary Sowers was with Mercer Government Human...

Sandy Markwood

Position: Chief Executive Officer, USAging

Sandy Markwood is a national advocate for aging issues and a champion for ensuring that older adults have the best supports to age well at home and in their communities. As the CEO of USAging since 2002, she is committed to ensuring that our society values and supports people across the lifespan.

Sandy Markwood

Chief Executive Officer, USAging

Sandy Markwood is a national advocate for aging issues and...

Abby Cox

Position: Senior Director of Aging Policy, ADvancing States

Abby Cox provides strategic leadership over the aging and disability work of ADvancing States, overseeing the analysis of federal regulations and advocating for the reauthorization of the Older Americans Act. Abby is the former Assistant Deputy Commissioner for the Division of Aging Services in Georgia, and also served as Vice President of Business Solutions at WellSky.

Abby Cox

Senior Director of Aging Policy, ADvancing States

Abby Cox provides strategic leadership over the aging and disability...